叙事护理对母婴分离住院产妇保持正常泌乳状态的效果研究  

Research on the Effect of Narrative Nursing on Maintaining Normal Lactation Status in Hospitalized Mothers and Infants Separated from Each Other

作　　者：陈文静 王贤英 刘丽萍[1] 李海鸿[1,2] Chen Wenjing;Wang Xianying;Liu Liping;Li Haihong(Gansu Province Maternal and Child Health Hospital,Lanzhou,Gansu 730050;Gansu University of Traditional Chinese Medicine,Lanzhou,Gansu 730050)

机构地区：[1]甘肃省妇幼保健院,甘肃兰州730050 [2]甘肃中医药大学,甘肃兰州730050

出　　处：《科技与健康》2024年第6期105-108,共4页Technology and Health

摘　　要：分析叙事护理对母婴分离住院产妇保持正常泌乳状态的效果。选取2023年3月—2023年10月分娩后新生儿即刻转科的78例产妇作为研究对象,电脑随机将产妇分为对照组和研究组,各39例,对照组采用常规护理,研究组采用叙事护理,比较两组产妇泌乳情况、不同阶段血清泌乳素水平及乳汁分泌量,采用焦虑自评量表(SAS)、抑郁自评量表(SDS)对比两组产妇护理前后心理状态。结果显示,研究组首次挤奶时间、泌乳Ⅱ期启动时间均比对照组更短,挤奶次数多于对照组(P<0.05);研究组产后24 h、48 h、72 h血清泌乳素水平明显高于对照组;研究组产妇产后24 h、48 h、72 h乳汁分泌量均多于对照组(P<0.05);护理后,研究组产妇SAS评分、SDS评分均低于对照组(P<0.05)。研究发现,对母婴分离住院产妇实施叙事护理,可有效保持产妇正常泌乳状态,增加乳汁分泌量,同时可消除产妇产后负面情绪,具有良好护理效果,值得推广及应用。This paper analyzed the effect of narrative nursing on maintaining normal lactation in hospitalized mothers and infants who have been separated.78 postpartum women who underwent immediate transfer of newborns after giving birth from March 2023 to October 2023 were selected as the research subjects.They were randomly divided into a control group and a study group,with 39 cases in each group.The control group received routine care,while the study group received narrative care.The lactation status,serum prolactin levels,and milk secretion of the two groups of postpartum women were compared before and after nursing using the Self Rating Anxiety Scale(SAS)and Self Rating Depression Scale(SDS).The results showed that thefirst milking time and lactation phase II initiation time of the study group were shorter than those of the control group,and the number of milking times was higher than that of the control group(P<0.05);The serum prolactin levels in the study group were significantly higher than those in the control group at 24 hours,48 hours,and 72 hours postpartum;The milk secretion of the study group postpartum women at 24 hours,48 hours,and 72 hours was higher than that of the control group(P<0.05);After nursing,the SAS and SDS scores of the study group were lower than those of the control group(P<0.05).Research has found that implementing narrative nursing for hospitalized mothers who are separated from infants can effectively maintain normal lactation,increase milk secretion,and eliminate negative postpartum emotions.It has a good nursing effect and is worth promoting and applying.

关 键 词：叙事护理 母婴分离 住院产妇 正常泌乳状态 

分 类 号：R473.71[医药卫生—护理学]